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CQC report explained · a nursing home

What the CQC found at Park House Nursing Home

Goodpublished 19 November 2019, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control, including visits, admissions, testing, protective equipment, hygiene and outbreak management. The provider also said it had measures to reduce the risks from COVID-19-related staffing pressures.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, April 2022

Inspected but not rated; inspectors were assured about infection control, visiting arrangements and COVID-19 safety measures.

This was an unannounced, targeted inspection on 21 March 2022. It followed concerns about visiting arrangements and looked at infection prevention and control, staffing pressures and their effect on care.

Inspectors were assured that the home was preventing infections from spreading. They found safe arrangements for visits, admissions, testing, shielding, social distancing, personal protective equipment and managing outbreaks.

The home supported visitors with testing, protective equipment, paperwork and escorting. Staff used protective equipment in line with government guidance, and infection control audits and spot checks were carried out.

The home was inspected but not rated. This means the report does not give an overall quality rating or a full set of ratings for all five areas of care.

What inspectors praised
  • Supported visiting

    A staff member was allocated each day to help visitors with testing, protective equipment, paperwork and safe access to their relative.

    “One member of staff each day was allocated to support with visiting.” from the report
  • Infection control

    Staff used protective equipment correctly and the home carried out regular checks to monitor infection control practice.

    “Infection prevention and control audits and spot checks were undertaken regularly to make sure staff were compliant with infection control procedures.” from the report
  • Personalised visits

    Each person had an individual risk assessment, so visits could be arranged around their needs and circumstances.

    “Each person had an individual risk assessment so arrangements could be personalised to them, including where the visit happened.” from the report
  • Safe PPE arrangements

    The manager had identified a possible risk from fixed protective equipment stations and used wipeable waist bags instead.

    “The registered manager had assessed PPE 'stations' in the home to be a risk to people.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What are the current visiting arrangements, and how are they reviewed when guidance changes?
  2. 02How will visits be personalised for my relative, including where visits take place?
  3. 03How do you check that staff continue to use protective equipment correctly?
  4. 04What measures are in place when COVID-19-related staffing pressures occur?
  5. 05When will the other areas of care be fully assessed and rated?

This was a targeted inspection of infection prevention and control and staffing pressures; it did not provide ratings for the other areas of care. This explanation was written from the published report of 15 April 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, November 2019

Rated Good; inspectors found safe, kind and personalised care, with strong leadership and no identified breaches.

Inspectors made an unannounced visit over two days. They spoke with people living there, relatives and staff, observed care, and checked care plans, medicines records, staff files and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines processes, individual care plans, suitable activities and a clean, well-maintained environment.

People and relatives described the care as exceptionally caring. Staff listened closely and adapted support to each person. The home had also reduced some people's antipsychotic medication by understanding their needs and giving them more freedom.

The previous inspection, published in March 2017, also rated the service Good. This was a planned inspection based on that previous rating.

What inspectors praised
  • Kind and compassionate care

    Inspectors saw warm and respectful relationships. Staff spent time with people and gave emotional support when they were anxious or upset.

    “We saw people receive emotional support from staff that was kind and compassionate; such as a warm embrace, holding hands and giving reassurance when a person was anxious.” from the report
  • Personalised support

    Care plans reflected people's lives, preferences and achievements. Staff used this knowledge to adapt care and help people make choices.

    “Each person had an individualised care plan that was regularly updated.” from the report
  • Safe staffing and environment

    Inspectors found enough staff to meet people's needs promptly. The building, equipment and fire safety arrangements were regularly checked.

    “There were enough staff at the home to meet people's needs in a timely manner.” from the report
  • Meaningful activities

    People could take part in activities based on their interests, past lives and culture. This included walks, outings, music, spiritual activities and time outdoors.

    “The service had two activity co-ordinators who took the lead in ensuring that people had the opportunity to engage in meaningful activities.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How do you currently assess staffing levels, and what happens if people's needs increase?
  2. 02How often are care plans and risk assessments reviewed, and how are families involved in changes?
  3. 03How do you check that medicines are being administered safely and that people's medicines remain appropriate?
  4. 04How would you tailor activities and communication for my relative's interests, culture and communication needs?
  5. 05How are end of life wishes recorded, reviewed and shared with relatives and health professionals?

This was an unannounced, comprehensive inspection covering the premises, care and all five CQC questions, with ratings compared with the previous inspection. This explanation was written from the published report of 19 November 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Park House Nursing Home

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. April 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Park House Nursing Home →

  2. November 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Park House Nursing Home →

  3. March 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 26 January 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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